Individual
GREGORY T ANTKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2810 CAMINO DEL RIO S, STE 102, SAN DIEGO, CA 92108-3818
(619) 299-1419
(858) 461-6008
Mailing address
2810 CAMINO DEL RIO S, STE 102, SAN DIEGO, CA 92108-3818
(619) 299-1419
(858) 461-6008
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A78990
CA
Other
Enumeration date
12/15/2005
Last updated
12/18/2014
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